Our Specialized Treatments:

From a sprained ankle to a new artificial hip, knee or shoulder, to debilitating arthritis, orthopedic conditions have many causes and symptoms.

Our experienced staff provides superior and efficient care for adult patients with disorders or dysfunction of the musculoskeletal system that is supported by the most relevant clinical research as well as that optimizes functional outcomes.

Orthopedic dysfunction is resolved through manual therapy techniques like massage and mobilization of joints, therapeutic exercises, and various energy-driven modalities such as interferential current (IFC) and transcutaneous electric nerve stimulation (TENS), functional electric stimulation (FES), short-wave diathermy (SWD), and ultrasound (US), among others.

What We Do:

Trained in diagnosing, managing, and preventing musculoskeletal disorders, our clinical Team conducts thorough evaluations and targeted treatments that restore independence and help our clients move better with less or no pain through a variety of highly skilled manual therapy techniques, therapeutic exercise, energy-driven modalities and patient education.

Throughout the entire process, we teach our clients and their caregivers how to effectively manage their conditions for lifelong wellness,

Some Common Orthopedic Disorders are:


As we age, our joint tissues become less resilient to wear and tear and start to degenerate manifesting as swelling, pain, and oftentimes, loss of joint mobility. Changes typically occur in the joint’s soft tissues as well as boney components, a condition called “osteoarthritis” but also known as OA or DJD (degenerative joint disease).

Simply put, OA is from wear and tear over time as well as other forms of trauma to the joints.   A more serious form of arthritis is called “rheumatoid arthritis” or RA, which is an autoimmune disease wherein the body produces antibodies against joint tissues causing chronic inflammation resulting in severe joint damage, pain and immobility.


A bursa is a small, fluid-filled sac that serves as a shock absorber or cushion where bones make close contact with other moving parts, such as muscles, tendons and skin.

Bursae serve to minimize trauma and friction.  Inflammation of a bursa, or “bursitis,” leads to pain and immobility in a joint area.

SPT&B can help!

Carpal Tunnel Syndrome

People whose job or hobbies involve repeated flexing of their wrist (e.g., typing) may develop tingling and/or pain in their thumb, index and middle fingers along with weakness of movements of the thumb, making everyday tasks like grasping an object quite difficult or even impossible.

This is due to repetitive stress and inflammation in the wrist where the Median Nerve, the main nerve for finely controlled thumb movements, passes through the wrist canal  that’s bounded by the thick wrist ligaments on one side (the “flexor retinaculum”) and the bones of the wrist and arm (the carpal bones, the radius and the ulna) on the bottom of the wrist.

Repetitive flexing movements at the wrist as well as from the tendons of the flexor muscles of the fingers (as would be common when one is typing) may inflame the structures passing through this “carpal tunnel” thus compressing the Median Nerve resulting in the symptoms of carpal tunnel dysfunction.

Although surgery is sometimes required, our specialized PT interventions can be very effective and should always be considered before surgery.

Muscular Dystrophy

Muscular dystrophy is a group of inherited diseases in which the muscles that control movement progressively weaken. The prefix, dys-, means abnormal. The root, -trophy, refers to maintaining normal nourishment, structure and function.

The most common form in children is called Duchenne muscular dystrophy and affects only males.  It usually appears between the ages of 2 to 6 and the afflicted live typically into late teens to early 20s.


Often referred to as “the bane of the old” (especially in women), osteoporosis (OP) is when the hard, rock-like quality of bone begins to dissolve or is not replaced as it would be normally, resulting in bones losing their density.  Thus, in OP, bones are more easily fractured.

Chemicals in our body like calcium and vitamin D, as well as Estrogen (a female sex hormone), are critical when it comes to OP. For example, once a woman’s ovaries stop producing the Estrogen, she is at higher risk of developing osteoporosis.

This can result in a collapse of bony vertebrae of the spinal column that results in loss of height and a stooped posture (a humped-like back). OP is also a common root cause of hip fractures.  In severe cases, one does not need to fall to have a fracture when OP is the underlying cause.

As many as half of all women and a quarter of men older than 50 will break a bone due to osteoporosis.  The symptoms and effects of other similar conditions such as Osteomalacia and Osteopenia can also be helped with our specialized physical therapy interventions.

Rotator Cuff Tear

The four muscles of the rotator cuff help seat and hold the shoulder ball in its socket, especially during throwing motions (like a pitcher in baseball or quarterback in football) as well as during overhead movements and lifting (for the rest of us “spectators” and “weekend warriors!”)

The tendons of these muscles also contribute to the structural strength of the shoulder joint.  Hard or fast movements can tear one or more of these tendons, either partially or completely, and result in pain with decreased mobility of the shoulder.

Surgery may be needed in cases when the tear is substantial or total, but our specialized PT interventions can be very effective and should always be considered before, as well as after, rotator cuff surgery.


Repeated strain on a tendon (the soft tissue structure at the ends of muscles that attach a muscle to a bone) can inflame the tendon, resulting in pain and difficulty with movement involving the associated muscle(s).

“Tennis Elbow” is a very common example of tendonitis, but there are many, many others.  SPT&B can not only help relieve your pain and dysfunction from tendonitis, but as well help you prevent future injuries from occurring.